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HomeMy WebLinkAbout007-150-01074'l 5;10f; ',i 27b8=91B RYAN;�Helen �+ ' `•3030 ;Burnap' Ave', . Chc°o a • .1. -.ter -i.'—..- 1 .L.. - / + • .ice i 007,.--1150-"0 ' C PERMIT#94-1719 MATTHEWS, SHERI _ 3030 BURNAP,AVE. .CHICO �•r ADD' COVERED�,PORCH/SF .s+ o ,Y s, 'r 74'l 5;10f; ',i 27b8=91B RYAN;�Helen �+ ' `•3030 ;Burnap' Ave', . Chc°o a • .1. -.ter -i.'—..- 1 .L.. - / + • .ice i 007,.--1150-"0 ' C PERMIT#94-1719 MATTHEWS, SHERI _ 3030 BURNAP,AVE. .CHICO �•r ADD' COVERED�,PORCH/SF .s+ . ........ Ln iYa�F^.*+►ewn^1:A•V:w�`�!'�'R•�••�e'c.�'K�i°•";� .6: r:�,e' Z�� � %f W'{.4.,,fi .kA,,'9.'Y. Xi -+^r- rsq :.....+w .s'. .-�;7 �• +:r+:s{ 1' • .'"',?�C "`�,.`'`• ~ ,� . 7-15-10 2768-91B • , -,, ~- RYAN, :Helen 3030 Burnap Ave; Cliico (reroof/sf) , ',1" J1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovIIle, Cfro\!�ornla 95965 -Telephone: 916/538.7541 .� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 7_ ZONING BUILDING PERMIT OWNER . A TE EP ONE — SO. FT. OCC. BUILDING VALUATION 6 60.00 OWNER'S MaAI ING ADDRESS 30 B CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $960.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $1750 ARCHITECT OR ENGINEER LICENSE NO. Plan CheFking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $27.50 PLUMBING PERMIT Filing Fee 10.00 3030 BurnAp Ave.. Chien Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF T Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea' TYPE OF WORK New ❑ Addition EJRemodel ElUtilities ❑ Installation❑ Other Describe work: RerOOf Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.ad) OR ADDNS. l ACC. BLDGS. I , /20SQft NEW CONSTR.U TI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e (SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES 2ALO 30 .L9 FIXED APLNS. EX. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against.s'aid County in consequence of the granting of this permit. X �u •� �� a+y '-R-r--� �� Date, 7 - �'/ Signature of Applicant — owner ❑ Contractor ❑ Agent ©- An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE '$ 27.50 HAL. J CUA I PARK I SCHL FLD CDF I PAR PD I HD. ISSU This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicate above f which fees have been aid. p / REQ4, ° OF PUBLIC WORKS By Date IIIII EXPIRES Date Receipt No. 96958 WHITE-D.P.W., YELLOW-ASSC330R, PINE-INSPECTOR,PER GOLDENROD -APPLICANT ' L COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive • OroVllle, California 95985 •Telephone: 918/538.7541 APPLICATION AND PERMIT _A33E53OR PARCELNUMBE14 7-15-010 ZONING BUILDING PERMIT OWNER Aelen TE EP ONE 342-4042 SQ. FT. OCC. BUILDING VALUA ION 16 60 960.00 OWNER'S MAI ING ADDRESS 3030 Btirve., Chico 95926 CONTRACTOR'SN ME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 960.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $27.50 PLUMBING PERMIT Filing Fee 10.00 1010 Rurnnp Ave, Chirn Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF[D Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I y (check One): ❑ I am licensed under provisions of Chapt. 9, Div..3 of the BUSInesS and Professions Code and my license is in full force and effect. License No. Classification. �I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.8d) OR ADDNS, ( ACC. BLDGS. , �20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(ouTLETs OR FIXTURES 20os0t DAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 10' 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation _ permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again" id County , conse uence_of the granting of this permit. X Lo Date L Signature of Applicant—_ LWer ❑ Contractor ❑ Agent 9-- An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE '$ — 27.50 HAL. I CUA PARK I SCHL I FLD I CDF I PAR I PD I I HD. ISSU , This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do workindicate above f which fees have been paid. RE F PUBLIC WORKS BY Dat g PERMI EXPIRES Date Receipt No. 96958 WHITE-O.P.W.. YELLOW-ASS[SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF,.BB IC WORKS -BUILDING DIVIION A.L 7 COUNTY CENTER DRIVE - OROVILLC CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET jG�i�/ �j� /� ` Permit N OWNER . Proposed Building Use�C744!9d/op— Building Inspector Date At time of it application, I was advised the:iollowing data must be submitted prior to permit processing and/or issuance: �._ DATE RECEIVED APPROVED 1. All items have been s�ubmitte,d............... ...................... 2. Plot plans in duplicate%triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed --by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ....................... ............... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid .................. .................. 12. Park fees paid ....................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department y 15. City of Chico plumbing permit ...................................:. 16. Plot plan and business License approval from City of (see City for other requirements) 17. Planning approval for (A) Use:— - (B�-Ra-r*ing: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... ��ertificate of Workmans Compensation Insurance ................... 3. -Owner-Builder Verification (Given to owner ❑, Mail to owner y3_4 -,'Recorded copy of Agricultural Acknowledgment Statement ........ 5. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at .office. Deliver w/inspector. Other Applicant Date x/ Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following dat rior to permit issuance: (Circle new -item not checked "above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_pho _counte e Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSO RCEL NUMBER —� -- ZONING BUILDING PERMIT owN R y� , / 1 , T�„LEPNE SSU4t SO T. C. BUILDING VALUATION - ('f � a - OW 'S M AII�N/G DRESS - / n (/// //J✓/ // .4 C ijACTjO`-�R'�. TELEPV/HJ-ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 14S2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILoI GOADDRES-*�, � � l U Permit fee ; r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF)S� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee' $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad OR ADONS. ACC. BLDGS. 2/zesgft NEW CONSTR. ULTI-OUTLET NON.RESIO BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 9 506 e20AL030C FIXE Ex. Occup. OUTLETS ( R RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee ; Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation perrnit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _ �j TOTAL FEE $ / HALCUA I PARK SCHL FLo I coF PAR PD I HD• ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WN,TE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT OWNERS,/NAME: RECEIVED B�/ DATE: A.P # PERMIT # TIME: RESIDENTIAL NON RESIDENTIAL RECEIPT # ------------ ------------------------------------------------------------------- REQUIRED PRIOR TO PERMIT ISSUANCE OM DATA REQUESTED BY PLAN CHECKER ENGINEERING OTHER -------------------------------------------------------- ----------------------- REQUESTED BY CORRECTION YES NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------------------------------------=----------------------------- WHEN APPROVED, PROCESS AS FOL L S: Mail to owner Mail,to contractor Call and hold for pickup at the office. Deliver with next inspection. REVISED PLAN CHECK FEES $15.00 $30.00 Additional Fees Not Required COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541`, OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Ely \2. I' (have/have not) )1�, i �/ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Sec ity umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- itted to issue the permit. lo Y a4A �� _ � . � �. . 4' � . ` ` � � ' � � 1 �, , •' � � � , � , .. � � � �. , _ � _� y .. R ENTIAL ----- ---1 -.' 007-150-010 - PERMIT#94-1719 MATTHEWS, SHERI 3030 BURNAP AVE,., CHICO i ADD COVERED PORCH/SF Y { 1 E. JOB FINALE Signature V=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped -6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitting-Test4 Way C/aSewar Test -10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation:. Date/Initials-PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26.' Equip. 'Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials - FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door•, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: V=OK O = Not OK ' = Not Readyable MOBILE HOMES Date/Initials MOBILE i HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P 1t. / /"Nat. or/ /%'X/ /"LPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Une 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat-Crossovere-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DEC ARPOR GARAGE (plans)OK except Va 04,0 4VO onl equirements-S cks-Ea ante ootings; Soils-SizWepth-Spa&n-g-Connectors-dtogr 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftre: Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columna-Connectione-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftre-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except ft'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Ughting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.;Enclosures; Conduit Entries-Terminale-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .. , 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMITT 0. APPLICATION AND -PERMIT 9q J E$SO�P,A�CEL�I�A�ER VU // 'TUU BUJ UU ZONING• SR BUILDING PERMIT OWNER SHERI MAT W TELEPHONE _9025 SO. F7• OCC. BUILDING VALU oN OWNER'S MAILING ADDRESS AVENUE, CHICO 95926 ZHH COV 3 744 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS . Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 40.95 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3030 BURNAP AVENUE CHICO PERMIT FEE $ 123.95 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 6Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @ZO.00 TYPE OF WORK New ❑ Addition CJ[Remodel ❑ Utilities ❑ Installation 1:1Other ❑ Describe Work: COVERED PORCH PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 101 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. OLDS. ) 3.5C FSTO,, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. )License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. so Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked.' PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgments, costs, and expenses which may in any way accrue against said C ty in conse uence of thg granting of this permit. / �_., Lkjjq�q X - Date V ature of Ap licant - Owner ❑ Contractor ❑ Agent An OSHA permit is req -red for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height.LP Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 123.9 HAZ. I D. FEES IMP FLOOD I CPARCEL PD HDI ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for w ich fees have been By4-:Z,,a_ & �/ V PERMIT EXPIRES ON / [Dote) provisions to do work paid. Date V jj �gQ Receipt No. /b � (UJ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t COUNTY OF BUTTE -DEPARTMENT OF bEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALI4'05965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 19 id ty- Proposed Building Use Building Inspector A. P. No. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE REQEFVED BY 1. All items have been submitted . ....................................... . Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood y California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. -Z . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ... . Preanspection request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ...............T 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue th mr,Q�cess as follows: (I to own Mail to contractor. Telephon and hold for pickup a'� ,Y1((r� jr �P. office. Deliver with inspector. Other W. ►�- Parcel Creation ; r Acreage Applicant Datea, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior,,to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). 0 Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail �'� ounter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY 1'I,d i'hw Attached Moor Him At eked— TO: Building 0cpartmetit FROM: Environmental Health SUBJECT: Sanitation Clearance . Owner Location Plan Approved for: Sewage Disposal Water Supply: I'ublic. — Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE-: Environmental Health Specialist 8/92 A P/1 f. Private Well 7 -Z -F - Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER C- — ZONING rTELEPHONE BUILDING PERMIT OWN D� SQ, FT, OCC. BUILDING VALUATION OWNEMAILING ADDRESS �.. CONTRACTOR'S NAME f TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER --OWN Total Valuation $ LENOEWS MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ RO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ©�© Uh� PERMIT FEE $ PLUMBING PERMIT Fling Fee . 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Additio Remodel O Utilities O Installation O Other ❑ Describe Work: _ Qy(�",�/pP_� �� PERMIT FEE $' Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( "OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SD. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7Q44) O 1, as.the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) " @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ 1.00 Ex. Occu FIXED APPINS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities0.00 Misc. Wiring t2!3E-OO WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enteN upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES HAZ• 1 O. FEES IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON IDero! Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I i -_7 SUITE COUNTY IBUILDI14G DEPARTM DEPARTENT J AP OV ED v 1� r� NOTE..__90 Materic Is I Wor'liftInsrip S�i`isA Be Accordance with Rc cognized Good Prcctices and of a quality prescri ed for the Specified use in the Uniform Building, Hui n6ing & Mechanical -Codes and the National Electric i .CQJe. This set of plans and specifications MUT be kept on the job at all times and it is unlaw ul to ' � make any changes or alterations on somartm Ith" C EQUII,I+iIEtdT INCWDING out -written permission from the Departure. t of iUM;jE$ ANDALL OF ALL EA'$EMEMM Public Works, County of Butte- OVFRI4..kGS SHALL BE CL A s I SACK OF S' I= r. FROM T14E SIDE AND � FT. FROG THE BEAR PROPF-RTY LIKES AND FT. FROM TIDE ROAD CENTERLINE SHALL BE :a. ;W) APT i.E.AA OF STRUCTURES AND EQUIPMENT l'-JCCE f� FOR A 2 FT. EAVE OVERHANG. BUTTE COUNTY BUILDING -DEPARTMENT 4PPROVED \` I i I a>, JX, P P R 0 VED SS!F Vi7- -f14 ;5#ZX4� ACQ - H yt auderd®e r//�/ W/S Burna Av., a ' p pp.1200 N.of Lasser Ave., Unit #9, Chico , Permit #7024-78B,P,E,M(new duplex) ; e y • O,.•.. Lo RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH. CURRENT ENERGY CONSERVATION�EZTIPS AT 9 7 2��A P . � k16-- sal (location) BUILDING PERMIT NO. --J'7 ` 76 A. P. NO.�,�i - 3 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: - Slab Edge. .4/ 4 '- Fdn. Walls &A Floors_ 4Z A Walls Ceiling/Roof 9/ Ducts Y Circulating Pipes_,&�/� APPROVED HEATER - i, - APPROVED APPROVED WTR.HTR.y CLAZ ING : Single Glazedy Special (Insulated) V A CERT. & LABELED WDS. &-. 1JD ING DRS. L WEATU171K T RIPPED DRS. BACK DAMPLAI;M FANS ,/ IN11,,L01T1TENT ICN IT ION' DEVICES r/ CERT. APPLIANCES J;," I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Namef //.S /-h (.t7 please print) Signature of Insulation Applicator J" 4z State Contractors License No. '905-S,35, General Contractor/Owner .Name tj j 4 dec-,341 /y (please'•pr--in-t•)- Signature of Q General Contractor/Owner/ 7 Date 7,��0 / .Sjo State Contractors License No..1,1 R q fO 0 THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND -SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. PdRMIT NO. 7024=78B,P;E,M S PERMIT EXPIRES OWNER Hoyt Lauderdale r CONTR. owner 44-33-63 LOCATION (A.P. ) "u W/S Burnap Ave., app.1200'N.of Lassen Ave., UNIT #9, Chico .r. " Temp. P6wer Pole Cal ed PG&E Temp. Elec. Serv.��"''g� Called PG&E jBTlep. Gas Serv.Called.PG&E FINALED ' (Dat (Signature) r F� F t, COUNTV-OP-UUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback/42Firewall SII Piping FormsParapets t Floor •.— / Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor A A StemwallSidin To out �" Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas PipIn 8 Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final -� Footings Footing E ECTRI AL Masonry Walls Throat V Rough Reinf. Steel Final Fixtures Bond Beam_ FIRE PR NKL RS Motors Framing -7,47,q-_ _ Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch 7 Heating Service Brown Cooling _ Temp. Pole Finish Ducts Underaround Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal ` Water Piping Sewer Gas Piping WOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping A J2rainage / Gas PipjnT lZ DATE REMARKS OR CORRECTIONSy 0 /�02- C1% ' (NOTE: An entry must be made on this form each time you visit the job site.) N COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS l' 7 County Center Drive - Oroville, California 95965 ` Tel ephome: 534* -1541 APPLICATION AND PERMIT J authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date2� sig—nat.?. of P mitee or Agent � Receipt No. I b �y s:SL/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By -Z_ Building permit expires Date10 BUILDING OwnerSO. o e FT. OCC. BUILDING VALUATION L LO. Mailing Address a '— '--- ,7 ca• CS cz, Telephone No. Contractor Mailing Address Fireplace Total Valuation , olo Telephone No. Permit Fee Building Address�.1 6 t Plan Checking Fee&/or Penalty Permit Fee - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C5`9� Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. —Z �• Zoning & Plan ing Water piping 1.50 Each gas water heater or vent 1.50 (gp Vkt- S FireDept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 6L EQA Parking Parcel Plans Declaration Parcel ap 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 � � Bldg. P� Rec'd Parc! A proval Plan pproval Lawn sprinkler system 2.00 NEW' ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 5 $ 5 C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 . oc' . Main service 600V OR LESS 100 AMP OR Less 5.00 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD -L. 100 AMP 2.50 OVER Main service OVER AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / D Q/!@'6�CUP. Y) 22 sq ft gb OR ADDNS. (A J&5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: TLhT NEW CO I T � BRANCH CIRCUITS) NEW RESID. BRANCH CIRCU 12.50ea NEW CONSTR. POWER APPARATUS5, NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES B L 1� � FIXED ALNS. Ex. Occup. ( OUTLETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 7 C MECHANICAL NO. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3 CSo Heating OTO tE� .Qe 6171.11 A.41 Cooling J �(_%:Z �l7 Ventilation L2.00 Hood Permit Fee $ C:p $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date2� sig—nat.?. of P mitee or Agent � Receipt No. I b �y s:SL/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By -Z_ Building permit expires Date10